title: [Evidence-based treatment of hemorrhoidal disease].
abstract: Hemorrhoidal disease represents a prevalent benign condition of the lower gastrointestinal tract. As a common and early symptom of hemorrhoids, patients present with painless rectal bleeding during or after defecation. For the treatment of hemorrhoidal disease, a large variety of operative and non-operative therapeutic options exists. In the present article, the authors aim to provide guidance for stage-directed therapy of hemorrhoidal disease based on up-to-date knowledge and the authors' own clinical experience.
authors.affiliation: Chirurgische Klinik, Kantonsspital Schaffhausen.
authors.forename: Markus
authors.initials: M
authors.lastname: Grandel
authors.forename: Franc H
authors.initials: FH
authors.lastname: Hetzer
mesh_terms: D003107:Colorectal Surgery / Q000639:trends*; D019317:Evidence-Based Medicine; D061865:Hemorrhoidectomy / Q000379:methods* / Q000639:trends*; D006484:Hemorrhoids / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans